Provider Demographics
NPI:1124727284
Name:PARSLEY, MARYJO VERA (PROVISIONAL LPC)
Entity type:Individual
Prefix:
First Name:MARYJO
Middle Name:VERA
Last Name:PARSLEY
Suffix:
Gender:F
Credentials:PROVISIONAL LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2412 COBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-2626
Mailing Address - Country:US
Mailing Address - Phone:301-606-3979
Mailing Address - Fax:
Practice Address - Street 1:201 N GEORGE ST STE 200
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1574
Practice Address - Country:US
Practice Address - Phone:681-252-1632
Practice Address - Fax:304-553-7438
Is Sole Proprietor?:No
Enumeration Date:2023-02-27
Last Update Date:2023-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV805101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional